KENNETH ROBERT LYONS MS, SUDP
NPI 1124558614
Counselor - Addiction (Substance Use Disorder) in Seattle, WA
About Kenneth Robert Lyons Ms, Sudp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH ROBERT LYONS MS, SUDP (NPI 1124558614) is an individual addiction (substance use disorder) provider in Seattle, Washington, licensed in Washington (CP61249696) and active in the NPI registry since June 2017. He maintains a secondary practice location in Shoreline.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Lyons's NPI number?
The NPI number for Kenneth Lyons is 1124558614. It was assigned to this individual provider in the NPPES registry on June 15, 2017.
Where is Kenneth Lyons located?
Kenneth Lyons practices at 3639 Mlk Jr Way S, Seattle, WA 98144. The listed phone number is (206) 805-8972.
What is Kenneth Lyons's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Kenneth Lyons was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenneth Robert Lyons, MS, SUDP · NPI 1124558614
Addiction (Substance Use Disorder) provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since June 15, 2017.
## Identity
- **NPI:** 1124558614 (Entity type: Individual)
- **Enumerated:** June 15, 2017
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** CP61249696 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 3639 MLK JR WAY S, Seattle, WA 98144
- **Phone:** (206) 805-8972
## Record status
- **NPPES last updated:** June 29, 2023
- **Other identifiers:** Medicaid 2110425 (WA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1124558614) · Data from the CMS NPPES public registry.